BABC CHICAGO MEMBERSHIP APPLICATION Our Mission For American businesspeople: To provide members and their sponsoring companies with unique opportunities to cultivate valuable professional, social and civic connections related to the growth of commerce between the Midwest and the U.K. For British businesspeople living and working in Chicago/Midwest: To provide their sponsoring companies with a forum for business connections and the members with a platform for social camaraderie, where they can celebrate and express their British heritage. □PREMIER BUSINESS NETWORK □BUSINESS NETWORK □INDIVIDUAL COMPANY REP □STUDENT $995.00 $500.00 $250.00 $150.00 Name Title/Major E-mail __ Organization/School Address City Phone Fax State Zip Organization Web site address Please provide a brief description of your organization. Method of Payment: □Please send me an invoice. □Please find enclosed my check made payable to BABC Chicago. □Please charge my credit card □VISA □MasterCard □AMEX Credit card # Expiration date___________3 digit security code (VISA MC) _______4 digit code (AMEX)____________ Billing Address_________________________________City_______________State_____Zip Signature________________________________ 1 As part of the new programs and initiatives of the BABCC, we look to further provide special resources and opportunities to our Members. The BABCC has created Industry Sectors. Over the course of the next year, there will be events which focus upon your particular interests. Please choose any number of Industry Sector groups below – in addition to your field of expertise, perhaps there are Sectors with which your company would like greater exposure, or represent a personal interest. □ Advanced Engineering & Technology □ Consumer Goods □ Creative & Media □ Defense, Aerospace, Transportation & Security □ Education □ Energy & Environment □ Financial Services □ Government Affairs □ Health Services/Pharma/ □ Information & Communications Technology □ Leisure & Tourism □ Manufacturing □ Professional Services Bioscience How did you hear about the BABC Chicago? Is your company interested in our student internship program? □YES □NO □ TELL ME MORE Please list additional delegates: (such as HR, Marketing, Event, Business Development representatives; if adding more than four delegates, please attached separate sheet with names and contact info. Thank you!) Name Phone Title Fax E-mail Name Phone Title Fax E-mail Name Phone Title Fax E-mail Name Phone Title Fax E-mail Thank you! Please mail OR e-mail your membership application to: BABC Chicago • 200 West Superior Street • Suite 410 • Chicago IL 60654 (312)880-1040 Email: kuc@babcc.org www.babcc.org 2 Chicago Board Members D David Kay OBE Chairman Partner, Drinker Biddle & Reath LLP K Thomas Stevens President Stevens & Associates Jon Butcher Vice President CEO, Mintel Americas Saul Caisman Treasurer Director, Midwest Area Risk Management, KPMG LLP Cynthia Shearn Secretary Partner, Fragomen Del Ray Bernsen & Loewy LLP Stephen Bridges Ex-Officio Director HM Consul General, British Consulate-General Chicago 3 Charles Bickers Director of Corporate Communications, Boeing Chris Duchene VP Corporate Strategic Sourcing, Illinois Tool Works Lynn Durning SVP & Regional Manager, Wells Fargo Philip Gawthorpe Strategic Account Consultant, AXA Corporate Solutions Robert Gibbs Group Account Director, VivaKi (Publicis Groupe) Chris Kelleher Senior Manager Talent Solutions, LinkedIn 4 Scott Markman President, The Monogram Group Daniel Ryan Midwest Market Director, Jones Lang LaSalle Robert (Bob) Ryan Group VP Human Resources America, Tate & Lyle Rupert Ward Principal International Tax Services, KPMG LLP Ed West Partner, Baker & McKenzie 5 Graham Atkinson Senior VP and Chief Marketing and Customer Experience Officer, Walgreens Laurence Geller Geller Investments 6